INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION
https://doi.org/10.21292/2078-5658-2018-15-6-28-32
Abstract
The article presents the results of a prospective randomized double-blind study which was investigating the efficacy of intra-operative transcutaneous stimulation of median nerve on the wrist aimed to prevent post-operative nausea and vomiting after planned resection of brain tumors located in posterior fossa.
Methods. 40 patients were included into the study: 20 patients were enrolled into the stimulation group and 20 of them were enrolled into the control group, where the prevention of emetogenic reactions was limited by the use of dexamethasone and ondansetron.
Results. The demographic and clinical parameters were compatible in the both groups. During the first 12 hours after recovery, the risk to develop symptoms was significantly lower in the stimulation group (p <0.05): 7 cases versus 14 ones in the control group (RR =0.5; 95% CI 0.26−0.97) and 4 versus 10 cases of vomiting in the control group (RR =0.4; 95% CI 0.15−1.07). No side effects were observed.
Conclusion. It was confirmed that this method was effective to prevent postoperative nausea and vomiting in the patients who underwent infratentorial craniotomy.
About the Authors
А. S. Kulikov
N. N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Russian Federation
Aleksandr S. Kulikov - Candidate of Medical Sciences, Senior Researcher of Anesthesiology and Intensive Care Center
Phone: +7 (499) 972‒85‒45
16, 4th Tverskaya-Yamskaya St., Moscow, 125047
M. I. Klyukin
N. N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Russian Federation
Mikhail I. Klyukin - Post Graduate Student of Anesthesiology and Intensive Care Department
16, 4th Tverskaya-Yamskaya St., Moscow, 125047
I. M. Belisov
N. N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Russian Federation
Igor M. Belisov - Anesthesiologist and Emergency Physician
16, 4th Tverskaya-Yamskaya St., Moscow, 125047
А. Yu. Lubnin
N. N. Burdenko National Scientific and Practical Center for Neurosurgery
Russian Federation
Russian Federation
Andrey Yu. Lubnin - Doctor of Medical Sciences, Professor, Head of Anesthesiology and Intensive Care Department
16, 4th Tverskaya-Yamskaya St., Moscow, 125047
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Review
For citations:
Kulikov А.S., Klyukin M.I., Belisov I.M., Lubnin А.Yu. INTRA-OPERATIVE STIMULATION OF MEDIAN NERVE REDUCES THE RISK OF POSTOPERATIVE NAUSEA AND VOMITING AFTER POSTERIOR FOSSA MASS RESECTION. Messenger of ANESTHESIOLOGY AND RESUSCITATION. 2018;15(6):28-32. (In Russ.) https://doi.org/10.21292/2078-5658-2018-15-6-28-32
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